Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study.
Background: Stroke is a major cause of mortality and morbidity with potential for improved care and prevention through general practice. A national survey was undertaken to determine current resources and needs for optimal stroke prevention and care.
Methods: Postal survey of random sample of general practitioners undertaken (N = 204; 46% response). Topics included practice organisation, primary prevention, acute management, secondary prevention, long-term care and rehabilitation.
Results: Service organisation for both primary and secondary prevention was poor. Home management of acute stroke patients was used at some stage by 50% of responders, accounting for 7.3% of all stroke patients. Being in a structured cardiovascular management scheme, a training practice, a larger practice, or a practice employing a practice nurse were associated with structures and processes likely to support stroke prevention and care.
Conclusion: General practices were not fulfilling their potential to provide stroke prevention and long-term management. Systems of structured stroke management in general practice are essential to comprehensive national programmes of stroke care.
Irish Heart Foundation in association with the Department of Health and Children, Republic of Ireland.
CommentsThis article is also available from http://www.biomedcentral.com
Published CitationWhitford DL, Hickey A, Horgan F, O'Sullivan B, McGee H, O'Neill D. Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study. BMC Family Practice. 2009 Apr 29;10:27.
Publication Date29 April 2009
- Health Psychology
- RCSI Bahrain
- School of Physiotherapy
- Published Version (Version of Record)